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Dog Contact -Form Fill

Section One
Q1

Full Name

First Name
Q2

Full Name

Last Name
Q3

Phone Number

Phone Number
Q4

Address
Q5

Address

City
Q6

Address

State / Province
Q7

Address
Q8

Email
Q9

Have you owned a dog previously?
Q10

Have you ever owned a Border Collie or working type breed?
Q11

Do you currently own another dog, and if so what is it's gender?
Q12

Is your current dog spayed/neutered?
Q13

What types of activities will you do with your dog for daily exercise?
Q14

On average, how long are you gone from home each day?
Q15

If you are gone for more than 4 hours a day what are your plans for your dog while you are gone?